IndividualActive
Adam Mcluckie, DO
NPI 1699564500 · Student in an Organized Health Care Education/Training Program · Augusta, GA
Provider details
- NPI number
- 1699564500
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17539 (GA)
Specialties & taxonomies
Student, Health Care
Practice location
1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-4951
Approximate (ZIP-level) locationGet directions
Mailing address
1120 15th St
Augusta, GA 30912-0004
Registry dates
- Enumerated
- 2025-05-06
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.